Provider Demographics
NPI:1740391937
Name:LAM, DENISE CHUI-WA (RPH)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:CHUI-WA
Last Name:LAM
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 W FRYE RD
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-4950
Mailing Address - Country:US
Mailing Address - Phone:888-694-7287
Mailing Address - Fax:
Practice Address - Street 1:2700 W FRYE RD
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-4950
Practice Address - Country:US
Practice Address - Phone:888-694-7287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2015-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ14669183500000X
PARP045280L183500000X
IL051.296484183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist